Journal
DIAGNOSTICS
Volume 12, Issue 8, Pages -Publisher
MDPI
DOI: 10.3390/diagnostics12082000
Keywords
tularemia; lymphadenopathy; Francisella tularensis; tuberculosis; fever of unknown origin
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Funding
- Open Access Publication Fund of the University of Muenster
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This case highlights the diagnostic challenge of tularemia and emphasizes the importance of considering the epidemiological context, detailed patient history, and interdisciplinary diagnostic workup.
A 52-year-old German female presented with cervical lymphadenopathy and fever. Despite the initial symptom-presentation leading to the consideration of sarcoidosis, lymphoma, tuberculosis, and toxoplasmosis, an extensive serologic and histo- and molecular pathologic workup eventually indicated a likely diagnosis of tularemia. This case brings to light that tularemia is a diagnostic challenge and requires high reliance on the epidemiological context thorough patient history, and an extensive interdisciplinary diagnostic workup.
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